Garofalo Raffaele, Mouhsine Elyazid, Chambat Pierre, Siegrist Olivier
Hopital Orthopedique, de la Suisse Romande, Avenue Pierre Decker 4, 1005, Lausanne, Switzerland.
Knee Surg Sports Traumatol Arthrosc. 2006 Jun;14(6):510-6. doi: 10.1007/s00167-005-0029-y. Epub 2006 Jan 4.
This article describes the anatomical two-incision reconstruction of anterior cruciate ligament (ACL) of knee. The major part of currently single incision tibial endoscopic techniques attempts to reproduce the most isometric anteromedial bundle of ACL. Often a relatively vertical femoral tunnel, respect to the notch, is drilled, which is not really efficacious in providing rotatory stability. The single incision technique was developed to obviate the necessity of the lateral femoral incision and dissection. This technical note describes a two-incision ACL reconstruction using an instrumentation, which avoids a large lateral femoral soft tissue dissection, and discusses the rational use of the two-incision ACL reconstruction technique.
本文介绍了膝关节前交叉韧带（ACL）的解剖双切口重建术。目前的单切口胫骨内镜技术主要试图重现ACL最等长的前内侧束。通常会钻出一个相对于髁间凹较为垂直的股骨隧道，但这在提供旋转稳定性方面并非真正有效。单切口技术的发展是为了避免外侧股骨切口和解剖的必要性。本技术说明描述了一种使用器械的双切口ACL重建术，该技术避免了广泛的外侧股骨软组织解剖，并讨论了双切口ACL重建技术的合理应用。
